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Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study

Overview of attention for article published in Italian Journal of Pediatrics, June 2018
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Title
Acute mastoiditis in an Italian pediatric tertiary medical center: a 15 – year retrospective study
Published in
Italian Journal of Pediatrics, June 2018
DOI 10.1186/s13052-018-0511-z
Pubmed ID
Authors

Claudia Balsamo, Carlotta Biagi, Margherita Mancini, Ilaria Corsini, Rosalba Bergamaschi, Marcello Lanari

Abstract

Acute mastoiditis is the main suppurative complication of acute otitis media. Its incidence ranges from 1.2 to 4.2/100.000 children/year and a rise has been reported in the last years. There are controversial data regarding risk factors for mastoiditis and its complications. to evaluate demographics and clinical characteristics of children with acute mastoiditis and to identify possible risk factors for complications. We retrospectively reviewed medical charts of all the children aged 1 month-14 years admitted to our Paediatric Emergency Department from January 2002 to December 2016. One hundred forty-seven cases (97 males and 50 females) were included in the analysis, mean age was 4.8 ± 3.6 years and 28.2% of the patients were younger than 2 years. We found an increasing number of mastoiditis per year during the last 3 years of the study. Children younger than 2 years were less treated with antibiotics for acute otitis media or treated for a shorter period (p < 0.05), while they were treated at higher antibiotic's dosage for mastoiditis (p < 0.01). Older children presented more frequently with symptoms such as earache or retroauricular pain (p < 0.0001, p < 0.001). We didn't identify any risk factor for mastoiditis complications in our study. Despite the introduction of pneumococcal vaccines, the incidence of acute mastoiditis in our population has not been reduced during the last years. We have to face all the reasons why this condition is still relevant, such as antibiotic resistance, new pathogens involved and a possible role played by the implementations of therapeutic acute otitis media guidelines restricting the use of antibiotics in this disease. A particular attention should be given to younger children where signs and symptoms may be less pronounced, therefore acute otitis media or mastoiditis may be misunderstood and appropriate treatment delayed.

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Mendeley readers

The data shown below were compiled from readership statistics for 40 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 40 100%

Demographic breakdown

Readers by professional status Count As %
Other 5 13%
Student > Ph. D. Student 4 10%
Student > Postgraduate 3 8%
Student > Bachelor 2 5%
Student > Doctoral Student 2 5%
Other 8 20%
Unknown 16 40%
Readers by discipline Count As %
Medicine and Dentistry 11 28%
Pharmacology, Toxicology and Pharmaceutical Science 3 8%
Social Sciences 3 8%
Nursing and Health Professions 2 5%
Agricultural and Biological Sciences 1 3%
Other 3 8%
Unknown 17 43%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 June 2018.
All research outputs
#11,645,424
of 13,110,606 outputs
Outputs from Italian Journal of Pediatrics
#361
of 477 outputs
Outputs of similar age
#232,137
of 268,114 outputs
Outputs of similar age from Italian Journal of Pediatrics
#2
of 2 outputs
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So far Altmetric has tracked 477 research outputs from this source. They receive a mean Attention Score of 3.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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